Centre volume impact on graft survival and waiting list time in donation after circulatory death liver transplantation in the USA

Author:

Giorgakis Emmanouil12ORCID,Khorsandi Shirin E345ORCID,Burdine Lyle12,Singer Andrew6,Hewitt Winston6,Heaton Nigel3,Mathur Amit K6

Affiliation:

1. Transplant Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

2. Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

3. Institute of Liver Studies, King’s College Hospital, London, UK

4. Institute of Hepatology, Foundation for Liver Research, London, UK

5. Faculty of Life Sciences and Medicine, King’s College London, London, UK

6. Department of Surgery, Division of Transplantation, Mayo Clinic Arizona, Phoenix, Arizona, USA

Abstract

During 2001–2015, numbers of donation after circulatory death (DCD) liver transplantations (LTs) remained surprisingly low. Post-transplant outcomes improved overall over time, regardless of centre volume. High-volume centres that promoted DCD LT significantly shortened their waiting list time, therefore limiting waiting list mortality and drop-outs.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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